Clinical and Translational Oncology

, Volume 20, Issue 11, pp 1392–1399 | Cite as

The relationship between physician and cancer patient when initiating adjuvant treatment and its association with sociodemographic and clinical variables

  • P. Jimenez-FonsecaEmail author
  • C. Calderon
  • A. Carmona-Bayonas
  • M. M. Muñoz
  • R. Hernández
  • M. Mut Lloret
  • I. Ghanem
  • C. Beato
  • D. Cacho Lavín
  • A. Ivars Rubio
  • R. Carrión
  • C. Jara
Research Article



The aim of this study was to analyze differences in physician and patient satisfaction in shared decision-making (SDM); patients’ emotional distress, and coping in subjects with resected, non-metastatic cancer.


602 patients from 14 hospitals in Spain were surveyed. Information was collected regarding physician and patient satisfaction with SDM, participants’ emotional distress and coping, as well as patient sociodemographic and clinical characteristics by means of specific, validated questionnaires.


Overall, 11% of physicians and 19% of patients were dissatisfied with SDM; 22% of patients presented hopelessness or anxious preoccupation as coping strategies, and 56% presented emotional distress. By gender, female patients showed a higher prevalence of dissatisfaction with SDM (23 vs 14%), anxious preoccupation (26 vs 17%), and emotional distress (63 vs 44%) than males. Hopelessness was more prevalent in individuals with stage III disease than those with stages I–II (28 vs 18%).


Physicians must be mindful of the importance of emotional support and individual characteristics when communicating treatment options, benefits, and adverse effects of each alternative to oncological patients.


Cancer Coping Distress Medical oncologist Satisfaction Shared decision-making 



The study was supported by the FSEOM-Onvida for Projects on Long Survivors and Quality of Life. SEOM (Spanish Society of Medical Oncology) 2015.

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest. This is an academic study.

Ethical approval

The study has been performed in accordance with the ethical standards of the Declaration of Helsinki and its later amendments. This study is an observational trial without intervention.

Informed consent

Signed informed consent was obtained from all patients.


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Copyright information

© Federación de Sociedades Españolas de Oncología (FESEO) 2018

Authors and Affiliations

  • P. Jimenez-Fonseca
    • 1
    Email author
  • C. Calderon
    • 2
  • A. Carmona-Bayonas
    • 3
  • M. M. Muñoz
    • 4
  • R. Hernández
    • 5
  • M. Mut Lloret
    • 6
  • I. Ghanem
    • 7
  • C. Beato
    • 8
  • D. Cacho Lavín
    • 9
  • A. Ivars Rubio
    • 3
  • R. Carrión
    • 10
  • C. Jara
    • 11
  1. 1.Department of Medical OncologyHospital Universitario Central de AsturiasOviedoSpain
  2. 2.Department of Clinical Psychology and Psychobiology, Faculty of PsychologyUniversity of BarcelonaBarcelonaSpain
  3. 3.Department of Hematology and Medical OncologyHospital Universitario Morales MeseguerMurciaSpain
  4. 4.Department of Medical OncologyHospital Virgen de La LuzCuencaSpain
  5. 5.Department of Medical OncologyHospital Universitario de CanariasTenerifeSpain
  6. 6.Department of Medical OncologyHospital Universitario Son EspasesMallorcaSpain
  7. 7.Department of Medical OncologyHospital Universitario La PazMadridSpain
  8. 8.Department of Medical OncologyHospital Universitario Virgen de La MacarenaSevillaSpain
  9. 9.Department of Medical OncologyHospital Universitario Marqués de ValdecillaSantanderSpain
  10. 10.Department of Medical OncologyHospital Universitario del SuresteArganda del ReySpain
  11. 11.Department of Medical Oncology, Hospital Universitario Fundación AlcorcónUniversidad Rey Juan CarlosMadridSpain

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